Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.05 / $152.05 / $262.27	Facility		$152.05	$152.05	$262.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $152.05 / $152.05	Professional		$76.68	$152.05	$152.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $257.57 / $317.20	Facility		$158.18	$257.57	$317.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $130.24 / $130.24	Professional		$98.98	$130.24	$130.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $126.89	Facility		$104.24	$104.24	$126.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $200.25	Professional		$76.09	$104.24	$200.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $152.05 / $197.67	Facility		$49.69	$152.05	$197.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $122.00	Professional		$115.00	$115.00	$122.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.30 / $202.30 / $311.00	Professional		$202.30	$202.30	$311.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $85.85 / $125.61	Professional		$63.71	$85.85	$125.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $804.26 / $804.26	Facility		$271.33	$804.26	$804.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $869.66 / $869.66 / $1,264.20	Professional		$869.66	$869.66	$1,264.20